Lifestyle and Dietary Modifications

• Reduce salt intake to manage fluid balance and control vertigo episodes.
• Avoid caffeine, alcohol, and smoking to prevent symptom aggravation.

Medications

• Use diuretics to decrease inner ear fluid pressure.
• Consider vestibular suppressants and anti-nausea drugs for acute vertigo, ensuring compatibility with diabetes management.

Physical Therapy

• Engage in vestibular rehabilitation exercises to enhance balance and reduce dizziness.

Medical Procedures

• Intratympanic steroid injections can help reduce inflammation.
• Gentamicin injections may be considered in severe cases, with caution due to potential hearing loss.

Surgical Treatments

• Options like endolymphatic sac decompression or vestibular nerve section may be explored for refractory cases.

Coordination with Diabetes Management

• Maintain good blood sugar control to potentially lessen symptom severity.

Specialist Consultation

• Consult an ENT specialist and possibly an endocrinologist for comprehensive care.